Surgical Techniques for Myasthenia Gravis: Robotic-Assisted Thoracoscopic Surgery

Robotic-assisted thoracoscopic surgery (RATS) creates an extended approach for thymectomy in terms of locating contralateral phrenic nerve and upper poles of the thymus. RATS thymectomy is indicated in all non-thymomatous myasthenia gravis (MG) patients and thymomatous MG patients with resectable th...

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Bibliographic Details
Published inThoracic surgery clinics Vol. 29; no. 2; p. 177
Main Authors Li, Feng, Ismail, Mahmoud, Elsner, Aron, Uluk, Deniz, Bauer, Gero, Meisel, Andreas, Rueckert, Jens-C
Format Journal Article
LanguageEnglish
Published United States 01.05.2019
Subjects
Humans
Myasthenia Gravis - surgery
Obesity - complications
Patient Positioning
Reoperation
Robotic Surgical Procedures
Thymectomy - methods
Myasthenia gravis
Thymectomy
Robotic-assisted thoracoscopic surgery
Thymoma
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Summary:Robotic-assisted thoracoscopic surgery (RATS) creates an extended approach for thymectomy in terms of locating contralateral phrenic nerve and upper poles of the thymus. RATS thymectomy is indicated in all non-thymomatous myasthenia gravis (MG) patients and thymomatous MG patients with resectable thymoma, typically Masaoka-Koga I and II. Left-sided RATS thymectomy is superior for anatomic reasons and in the special care patients with MG. Up to now, left-sided three-trocar RATS thymectomy is the perfect combination of radical resection and minimal invasiveness among various approaches for thymectomy.
ISSN:1558-5069
DOI:10.1016/j.thorsurg.2018.12.006